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General NPI Number Information
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NPI Number | 1659762524
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Entity Type | Organization
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Legal Business Name | PANTHERX SPECIALTY LLC
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 24 SUMMIT PARK DR STE 101
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City | PITTSBURGH
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State | PA
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Zip | 15275-1104
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Country | US
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Telephone | 855-726-8479
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Fax | 855-246-3986
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Provider Business Mailing Address
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Address Line | 121 BAYER RD BLDG 5
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City | PITTSBURGH
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State | PA
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Zip | 15205-9706
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Country | US
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Telephone | 855-726-8479
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Fax | 855-246-3986
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Authorized Official
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Title or Position | CEO
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Name | ROBERT SNYDER
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Credential |
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Telephone | 855-726-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PP482247
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License Number State | PA
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